Attachment_06_-_Release_of_Claims_Form_DI-137.pdf
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- Attached to
- CABLEWAY CRANE REFURBISHMENT
- Solicitation number
- 140R3026R0010
About this file
This document is a Release of Claims form (DI-137) issued by the United States Department of the Interior for use in federal contracts. The form serves as a template that contractors must complete and submit to the government prior to receiving final payment under a contract. Upon execution, the contractor releases and discharges the United States, its officers, agents, and employees from all claims, debts, liabilities, obligations, and demands arising from or related to the contract, in exchange for final payment of the amount due. The form requires the contractor to identify the contract number, payment date, and contract amount, and includes space for contractor signature and company information including business structure (corporation, partnership, joint venture, or individual), address, and authorized signatory title.
For corporate contractors, the form includes a certification section requiring an officer of the corporation to verify that the signatory was authorized by the corporation's governing body to execute the release on its behalf. The certification must be signed and sealed. The document explicitly allows for exceptions to the release, which may be listed on the form, though the exceptions section is left blank in this template. This standard government form is designed to protect federal interests by obtaining comprehensive release of claims before disbursing final contract payments.
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Text version
Contract Number
Date
UNITED STATES
DEPARTMENT OF THE INTERIOR
RELEASE OF CLAIMS
DI-137
(March 2017)
WHERE AS, by terms of the above contract for
, entered into by the United States of America, hereinafter also referred to as the
United States, and the contractor
, it is provided that after completion of all work, and prior to final payment, the contractor will furnish the United States with a release of all claims;
NOW, THEREFORE, in consideration of the above premises and the payment by the United States to the contractor of the amount now due under the contract, to wit, the sum of dollars
) , the contractor hereby remises, releases, and forever discharges the United States, its officers, agents,($ and employees, of and from all manner of debts, dues, liabilities, obligations, accounts, claims, and demands whatsoever, in law and in equity, under or by virtue of the said contract except:
IN WITNESS WHEREOF, the contractor has executed this release this day of , 20 .
(Contractor) (Signature)
By
(Name)
Corporation
Partnership
Joint Venture
Individual
(Street Number or R.F.D.)
(City) (State) (Zip Code)
(Title)
COMPLETE ONLY IF CONTRACTOR IS A CORPORATION
I, CERTIFY That I am the of the corporation named as contractor herein; that , who signed this release on behalf of the corporation, was then of said corporation; and that said release was duly signed for and on behalf of said corporation by authority of its governing body.
(Signature)
[SEAL]
This form was electronically produced by Elite Federal Forms, Inc.
Attachment 06 - Release of Claims Form DI-137
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File details come from the government source that posted it. Updated .